Clovex
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📋 Merchant Application
Get
Pre-Qualified
for Funding
Complete the form below. Most applications are reviewed within minutes.
1
Business Information
Legal Business Name
DBA (if different)
Date Incorporated
EIN
Business Address
Industry
Select...
Retail
Restaurant / Food Service
Construction
Trucking / Transportation
Healthcare
Professional Services
Manufacturing
Beauty & Wellness
Real Estate
E-Commerce
Auto & Repair
Education
Other
Business Phone
Website (optional)
2
Owner Information
Owner 1 (Primary)
First Name
Last Name
Ownership %
Title
SSN
Date of Birth
Phone
Email
Home Address
+ Add Another Owner
3
Funding Details
Desired Funding Amount
Select...
$20K – $50K
$50K – $150K
$150K – $500K
$500K – $1M
$1M+
Monthly Revenue
Select...
$50K – $100K
$100K – $250K
$250K – $500K
$500K+
Use of Funds
4
Bank Statements
📄
Drop files here or click to upload
PDF, JPG, PNG — Max 25MB per file
Submit Application →
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